Stacy Ford
NPI #1053759605 in San Rafael, California
Provider Information
- NPI Number
- 1053759605
- Entity Type
- Individual
- Name
- Stacy Ford
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Jun 5, 2013
- Last Updated
- Jun 5, 2013
Practice Location
- Address
- 1 SAINT VINCENTS DR
- City
- San Rafael
- State
- California
- ZIP Code
- 94903-1504
- Phone
- (415) 507-4262
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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